Members

Membership Application Form

Company Information

*Company:

Please type in your company name EXACTLY as you want others to view it.
The way you enter your company name is how it will appear to ALL ATMIA members in our member directory.

*Address:

Address 2:

*City, *State, *Zip:

*Country:

*Phone:

Fax:

General E-mail:

Website:

ATM Locator:

Description:

Membership Information

*Primary Region:

*Membership Type:

View membership types & descriptions

*Company Type:

Secondary Type:

Additional Type:

Additional Information

Year Established:

*Number of Employees:

Number of ATMs Deployed:

(IAD & Financial Institutions)

* How did you hear
about ATMIA:

* ATMIA Team Member:

Other:

Reason for joining:

*Username:

*Password:

*Re-enter Password:

Member Information

Prefix:

*First Name:

*Last Name:

*E-mail Address:

*Verify E-mail Address:

Job Title:

*Address:

Address 2:

*City, *State, *Zip:

*Country:

*Phone:

Mobile:

Fax:

Privacy Settings

ATMIA respects your privacy and will never share your information without your consent. Use the options below to allow us to share your information with other attendees.

* Display my information in the member directory?

Yes - Please include my contact information in the member directory (Name, title, company, phone number and email address)
No - I would rather keep my membership anonymous (You can search members, but not view individual contact details or download the directory)

* Allow members to download my information and contact me?

Yes - Allow other members to download my information and contact me (Name, title, company, email, phone, fax, mobile, address, social media links and email preference)
No - I would rather keep my information private (You will be unable to download the member directory)

ATMIA recommends this option as it provides the best exposure for you and your company.

Membership Code of Conduct

Payment of annual ATMIA Membership dues affirms that we/I do hereby pledge to maintain sound and fair business practices, to meet local regulatory requirements, and to encourage the pursuit of best practices which we have assessed to be applicable to our particular business area, while operating as a member of the ATM Industry Association. Every member company pledges to abide by the fair business standards and procedures as a condition of admission and continuing membership in ATMIA.

ATMIA member benefits are nontransferable and cannot be shared. ATMIA member benefits are for ATMIA member companies and their employees only, and may not be made available to others, including other organizations that ATMIA member companies or their employees are affiliated with. Consequently, as a further condition of membership, member companies will not share, and will take all necessary steps to ensure that their employees will not share, any ATMIA benefits, including but not limited to Best Practice Manuals, the ATMIA member database, training materials, industry reports, discussion papers, webinar links or their logins with a non-member company/person, as well as materials licensed to ATMIA, such as regulatory compliance information provided by Stateside Associates or EFTA. Failure to adhere to this prohibition may result in member discipline, up to and including termination. ATMIA members agree to refer any requests for information by non-members to Sharon Lane at sharon.lane@atmia.com

Former ATMIA Members may not rejoin ATMIA using a discount / promo code within 13 months of expiration as part of our best business practice and ATMIA’s member loyalty program.

In so doing, we/I believe these business practices will not in any way bring the reputation of the ATM industry into disrepute, nor intentionally damage the general public and business confidence in the ATM as a self-service delivery channel. Rather, we/I believe that our business practices contribute to the growth, health and general good-will prevailing in the ATM industry.

* I have read and agree to the membership code of conduct

Billing Information

Same As:

Company Address Member Address

*Company:

*Contact Name:

*Phone:

*Email Address:

*Address:

Address 2:

*City, *State, *Zip:

*Country: